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Demystifying the
Telemedicine Triple
Threat:
Reimbursement,
Licensure & HIPAA
Nathaniel Lacktman,
Esq.
nlacktman@foley.com
@Lacktman
March 2017
1
Telemedicine Reimbursement and
Payment
2
3
Telehealth
Sources of
Revenue
Government FFS (Medicare, Medicaid)
Medicare Advantage,
Medicaid MCOs
Commercial
Health Plans
Employer Self-
Funded Plans
Employer Pay (OOP)
Institutions,
Providers
Self-Pay /
Cash
Cost Savings and
Cost Avoidance
4
5
Telemedicine and Licensure
6
8
Patient Contact
Select Hospital
Provide Initial
2nd Opinion /
Assessment
Arrange Follow-up
Travel to Hospital
Receive Treatment
Travel Home
Post-Treatment
Follow-up Care
Telemedicine Privacy & Security
9
10
Use a password or other user
authentication.
Install and enable encryption.
Install and activate wiping and/or
remote disabling.
Disable and do not install file- sharing
applications.
Install and enable security software.
Keep security software up to date.
Research mobile applications (apps)
before downloading.
Install and enable a firewall.
Delete all stored health information
before discarding or reusing the mobile
device.
Maintain physical control of your
mobile device.
Use adequate security to send or receive
health information over public Wi-Fi
networks.
Speaker Contact
11
Nathaniel Lacktman, Esq.
Partner
Chair, Telemedicine & Virtual Care Practice
Co-Chair, Digital Health Group
Foley & Lardner LLP
813.225.4127
nlacktman@foley.com
www.foley.com/nlacktman
News & Resources
www.foley.com/telemedicine
www.healthcarelawtoday.com
@Lacktman
One Law Firm.
All Your Digital Health Needs.
Telemedicine ● Telehealth ● Virtual Care ● mHealth
Fraud and Abuse ● Regulatory Compliance ● International/Destination Medicine
Reimbursement and Payment ● Contracting and Joint Ventures ● M&A
Licensure and Practice ● Concierge Medicine ● Privacy and Security
ATTORNEY ADVERTISEMENT. The contents of this document, current at the date of publication, are
for reference purposes only and do not constitute legal advice. Where previous cases are included, prior
results do not guarantee a similar outcome. Images of people may not be Foley personnel.
Β© 2017 Foley & Lardner LLP
Thank you

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Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA - https://vsee.com/webinars

  • 1. Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA Nathaniel Lacktman, Esq. nlacktman@foley.com @Lacktman March 2017
  • 2. 1
  • 4. 3 Telehealth Sources of Revenue Government FFS (Medicare, Medicaid) Medicare Advantage, Medicaid MCOs Commercial Health Plans Employer Self- Funded Plans Employer Pay (OOP) Institutions, Providers Self-Pay / Cash Cost Savings and Cost Avoidance
  • 5. 4
  • 6. 5
  • 8.
  • 9. 8 Patient Contact Select Hospital Provide Initial 2nd Opinion / Assessment Arrange Follow-up Travel to Hospital Receive Treatment Travel Home Post-Treatment Follow-up Care
  • 11. 10 Use a password or other user authentication. Install and enable encryption. Install and activate wiping and/or remote disabling. Disable and do not install file- sharing applications. Install and enable security software. Keep security software up to date. Research mobile applications (apps) before downloading. Install and enable a firewall. Delete all stored health information before discarding or reusing the mobile device. Maintain physical control of your mobile device. Use adequate security to send or receive health information over public Wi-Fi networks.
  • 12. Speaker Contact 11 Nathaniel Lacktman, Esq. Partner Chair, Telemedicine & Virtual Care Practice Co-Chair, Digital Health Group Foley & Lardner LLP 813.225.4127 nlacktman@foley.com www.foley.com/nlacktman News & Resources www.foley.com/telemedicine www.healthcarelawtoday.com @Lacktman One Law Firm. All Your Digital Health Needs. Telemedicine ● Telehealth ● Virtual Care ● mHealth Fraud and Abuse ● Regulatory Compliance ● International/Destination Medicine Reimbursement and Payment ● Contracting and Joint Ventures ● M&A Licensure and Practice ● Concierge Medicine ● Privacy and Security
  • 13. ATTORNEY ADVERTISEMENT. The contents of this document, current at the date of publication, are for reference purposes only and do not constitute legal advice. Where previous cases are included, prior results do not guarantee a similar outcome. Images of people may not be Foley personnel. Β© 2017 Foley & Lardner LLP Thank you